Provider Demographics
NPI:1619423175
Name:BRADY, SHERYL ANNE (APRN/PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:ANNE
Last Name:BRADY
Suffix:
Gender:F
Credentials:APRN/PMHNP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ANNE
Other - Last Name:RHOADS, HOPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN/PMHNP
Mailing Address - Street 1:PO BOX 911057
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80291-1057
Mailing Address - Country:US
Mailing Address - Phone:888-269-7001
Mailing Address - Fax:303-764-6640
Practice Address - Street 1:2925 PROFESSIONAL PL STE 101
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-8125
Practice Address - Country:US
Practice Address - Phone:719-776-6850
Practice Address - Fax:719-776-6855
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0195551163WP0808X
COAPN.0992666-NP363LP0808X
CO0992666363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health